Subject Numbers Regarding Health Provider Authorizations
November 14, 2018
The following have been added to the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system.
| NAME | SPECIALTY AREA OF PRACTICE | CITY OF PRACTICE | AUTHORIZATION NUMBER* | EFFECTIVE DATE |
|---|---|---|---|---|
| Gokhale, Amit Arun | Anatomic Pathology, Clinical Pathology, Blood Banking/Transfusion Medicine | Stony Brook | 294483-3W | October 26, 2018 |
| Ambalu, Oren | Anesthesiology | Lake Katrine | 292454-6B | October 2, 2018 |
| Brouillette, Mark Andrew | Anesthesiology | New York | 287708-2W | October 22, 2018 |
| Caramiciu, Justin Albert | Anesthesiology | Albany | 292623-6W | October 4, 2018 |
| D’Amato, Pamela Rose | Anesthesiology, Pain Management | New York | 240457-2W | October 19, 2018 |
| Defranks-Anain, Leslie Ann | Anesthesiology | Williamsville | 241092-6W | October 31, 2018 |
| Kataria, Sandeep | Anesthesiology | Ardsley | 292236-7W | October 24, 2018 |
| Kaushal, Amit Kumar | Anesthesiology, Pain Management | Stony Brook | 289428-5W | October 26, 2018 |
| Lander, Heather Lynn | Anesthesiology | Rochester | 293928-8W | October 23, 2018 |
| Levin, Emily J. | Anesthesiology | Melville | 268959-4W | October 22, 2018 |
| Li, Hsin Ting | Anesthesiology | Brooklyn | 292442-1W | October 29, 2018 |
| Liu, Sophia | Anesthesiology | New York | 258702-0W | October 3, 2018 |
| Rutkowski, Malgorzata Elzbieta | Anesthesiology | Williamsville | 290927-3W | October 15, 2018 |
| Varghese, Justin | Anesthesiology | Hicksville | 291805-0W | October 5, 2018 |
| Virk, Navyugjit | Anesthesiology | East Amherst | 271372-5W | October 4, 2018 |
| Yaguda, Boris | Anesthesiology, Pain Management | Brooklyn | 271997-9W | October 17, 2018 |
| Reilly, John Patrick | Cardiovascular Disease, Interventional Cardiology | Stony Brook | 198597-7W | October 25, 2018 |
| O’Connor, Kimberly Rosaline | Chiropractic | Hicksville | C09220-7B | October 1, 2018 |
| Tubens, David Mitchell | Chiropractic | Huntington Station | C08316-4W | October 1, 2018 |
| Van Volkenberg, Mark N. | Chiropractic | Buffalo | C13126-0B | October 1, 2018 |
| Fiorella, David John | Diagnostic Radiology, Neuroradiology | Stony Brook | 252328-0W | October 3, 2018 |
| Kazi, Moazzem | Diagnostic Radiology | New Hyde Park | 255203-2W | October 5, 2018 |
| Kothary, Shefali Paresh | Diagnostic Radiology | Roslyn | 258738-4B | October 3, 2018 |
| Sher, Irene | Diagnostic Radiology, Pediatric Radiology | Mineola | 245867-7W | October 4, 2018 |
| Bennett, Leah Marie | Emergency Medicine | Syracuse | 278252-2W | October 15, 2018 |
| Bober, Wojciech | Emergency Medicine | Stony Brook | 265013-3B | October 25, 2018 |
| Cohen, Rishana Sklaroff | Emergency Medicine | Syracuse | 288781-8W | October 15, 2018 |
| Dasgupta, Neil Kumar | Emergency Medicine | Stony Brook | 294408-0W | October 25, 2018 |
| Guiney, Allan Lloyd | Emergency Medicine | Cooperstown | 286065-8W | October 22, 2018 |
| Aarons, Alexandra Rose | Family Practice | East Norwich | 286918-8B | October 17, 2018 |
| Augustine, Nicholas Joseph | Family Practice | E Syracuse | 293897-5W | October 2, 2018 |
| Belz, Daniel Erich | Family Practice | New York | 283974-4W | October 5, 2018 |
| Cecconi, John Louis | Family Practice | Cazenovia | 294562-4W | October 15, 2018 |
| Chen, Jacky | Family Practice | Cortland | 294629-1W | October 17, 2018 |
| Ethier, Gloria | Family Practice | Saratoga Springs | 271888-0B | October 29, 2018 |
| Filipski, Anne On Yan | Family Practice | Fulton | 286146-6W | October 19, 2018 |
| Klymochko, Bohdan Michael, Jr. | Family Practice | Rochester | 286684-6W | October 23, 2018 |
| Long, Rachel Elizabeth | Family Practice | Rochester | 280922-6W | October 22, 2018 |
| Minhas, Osmaan Ahmed | Family Practice | Middletown | 291541-1W | October 29, 2018 |
| Nguyen, Anh-Thu Ho | Family Practice | Buffalo | 294643-2W | October 31, 2018 |
| Redenbach, Erica Susan | Family Practice | Buffalo | 294386-8W | October 29, 2018 |
| Siegenthaler, Matthew Harold | Family Practice | Vernon | 292751-5W | October 17, 2018 |
| Siegenthaler, Michael Donald | Family Practice | Verona | 293003-0W | October 26, 2018 |
| Nietsch, Hubertus Heinrich | Gastroenterology | Albany | 272194-2W | October 1, 2018 |
| Jadotte, Yuri Tertilus | General Preventive Medicine, Public Health | Stony Brook | 284861-2W | October 26, 2018 |
| Noel, Kimberly Melanie | General Preventive Medicine, Public Health | Stony Brook | 277430-5W | October 24, 2018 |
| Alessi, Brian Charles | Internal Medicine | Rome | 175847-3W | October 11, 2018 |
| Deep, Aman | Internal Medicine | Hicksville | 276810-9W | October 22, 2018 |
| Devaraj, Kiran | Internal Medicine, Cardiovascular Disease, Clinical Cardias Electrophysiology | Pittsford | 294853-7W | October 10, 2018 |
| Ejaz, Kanwal | Internal Medicine | Ithaca | 295692-8W | October 22, 2018 |
| Friedrich, Marcus Edmund | Internal Medicine | Albany | 259301-0W | October 3, 2018 |
| Ganesh, Pranava | Internal Medicine | Johnson City | 295957-5W | October 22, 2018 |
| Khan, Tehmina Mughal | Internal Medicine | Middletown | 282343-3W | October 18, 2018 |
| Niwaz, Tagenarayan | Internal Medicine, Cardiology | East Patchogue | 287163-0W | October 25, 2018 |
| Parikh, Leslie Russell | Internal Medicine, Cardiovascular Disease | Schenectady | 288411-2B | October 23, 2018 |
| Pascual, Jr., Arturo Gurbuxani | Internal Medicine | Middletown | 287316-4W | October 15, 2018 |
| Persaud, Priscilla | Internal Medicine | Hicksville | 275805-0W | October 24, 2018 |
| Poulose, Redger Ellen Maria | Internal Medicine | Stony Brook | 294202-7W | October 24, 2018 |
| Pullela, Nanda Kishore | Internal Medicine | Stony Brook | 294814-9W | October 25, 2018 |
| Ratner, Sabina | Internal Medicine | Stony Brook | 295357-8W | October 25, 2018 |
| Said, Anan Hassan | Internal Medicine, Gastroenterology | Stony Brook | 293126-9W | October 24, 2018 |
| Thomas, Joel | Internal Medicine | Stony Brook | 295788-4W | October 26, 2018 |
| Zarrabi, Kevin Kayvan | Internal Medicine | Stony Brook | 295894-0W | October 25, 2018 |
| Zizzi, Joseph Anthony, Jr. | Internal Medicine, Cardiovascular Disease | Orchard Park | 170282-8W | October 2, 2018 |
| Dalfino, John Charles | Neurological Surgery | Albany | 254026-8W | October 1, 2018 |
| Kenning, Tyler James | Neurological Surgery | Albany | 265757-5W | October 1, 2018 |
| Mariwalla, Nitin | Neurological Surgery | West Islip | 287808-0W | October 11, 2018 |
| Hancock, Minna Lauren | Neurology | Auburn | 295280-2W | October 10, 2018 |
| Malek, Hamza Tarek | Neurology | Canton | 292187-2W | October 5, 2018 |
| Mednick, Adam Seth | Neurology | Garden City | 187059-1B | October 1, 2018 |
| Schloss, Evan Ross | Neurology | Carmel | 279298-4B | October 5, 2018 |
| Lester, Denise Emily | Obstetrics/Gynecology | East Setauket | 156757-7B | October 26, 2018 |
| Lochner, Megan Claire | Obstetrics/Gynecology | Setauket | 238572-2W | October 26, 2018 |
| O’Keefe, Robert | Obstetrics/Gynecology | Setauket | 150656-7W | October 11, 2018 |
| Persad, Malini Devi | Obstetrics/Gynecology | Stony Brook | 278397-5W | October 11, 2018 |
| Van Sise, Melanie Ann | Obstetrics/Gynecology | East Setauket | 274136-1W | October 11, 2018 |
| Welischar, Julie Anne | Obstetrics/Gynecology | East Setauket | 229653-1W | October 11, 2018 |
| Coomaralingam, Luckshman | Occupational Medicine | New York | 293477-6W | October 11, 2018 |
| Archer, Erica Lynn | Ophthalmology | Scotia | 289060-6W | October 4, 2018 |
| Buono, Christine Speer | Ophthalmology | Southold | 240381-4W | October 24, 2018 |
| Garcia, Andrew Michael | Ophthalmology | Middletown | 267982-7W | October 15, 2018 |
| Giamos, Victor Peter | Ophthalmology | Southampton | 254305-6W | October 3, 2018 |
| Kligman, Brad Evan | Ophthalmology | Smithtown | 266649-3W | October 24, 2018 |
| Nattis, Alanna Sari | Ophthalmology | Babylon | 271296-6W | October 4, 2018 |
| Rubinstein, Tal Joshua | Ophthalmology | Slingerlands | 293720-9W | October 19, 2018 |
| Sebrow, Dov Ber | Ophthalmology | Newburgh | 282857-2I | October 15, 2018 |
| Almansoori, Khaled | Orthopedic Surgery | Stony Brook | 292542-8W | October 22, 2018 |
| Binkley, Allison Suzanne | Orthopedic Surgery | Amherst | 292799-4W | October 15, 2018 |
| Bishop, Meghan Elizabeth | Orthopedic Surgery | Tarrytown | 287195-2W | October 23, 2018 |
| Dengenis, Rhyne Champ | Orthopedic Surgery | Massapequa | 278913-9W | October 17, 2018 |
| Erickson, Brandon Joseph | Orthopedic Surgery | Tarrytown | 287598-7W | October 2, 2018 |
| Fischer, Charla Roland | Orthopedic Surgery | New York | 246106-9B | October 5, 2018 |
| Lai, Kafai | Orthopedic Surgery | Lewiston | 286819-8W | October 25, 2018 |
| Lee, Joseph Kim | Orthopedic Surgery | Tarrytown | 250070-0B | October 23, 2018 |
| Romeo, Anthony Albert | Orthopedic Surgery | Tarrytown | 294351-2B | October 2, 2018 |
| Sadeghpour, Ramin | Orthopedic Surgery | Brooklyn | 288065-6W | October 17, 2018 |
| Tripathi, Mohan Sanjay | Orthopedic Surgery | New York | 292313-4W | October 26, 2018 |
| Wong, Che Hang Jason | Orthopedic Surgery | New York | 283860-5W | October 17, 2018 |
| Son, Hwa Jung | Otolaryngology | Scarsdale | 268598-0W | October 4, 2018 |
| Bonte, Benjamin Jan Bronstein | Physical Medicine/Rehabilitation | New York | 288521-8W | October 5, 2018 |
| Kapner, Daniel Jacob | Physical Medicine/Rehabilitation | Freeport | 292632-7W | October 31, 2018 |
| Ma, Heather Marie | Physical Medicine/Rehabilitation | Rochester | 293999-9W | October 23, 2018 |
| Rubin, Stuart Alan | Physical Medicine/Rehabilitation, Pain Management | Boca Raton | 178860-3I | October 17, 2018 |
| Salerno, Paul William | Physical Medicine/Rehabilitation | Amsterdam | 211842-0B | October 19, 2018 |
| Adetayo, Oluwaseun | Plastic Surgery | Delmar | 271821-1W | October 29, 2018 |
| Carpenter, Courtney Anne | Plastic Surgery | Albany | 274465-4W | October 1, 2018 |
| Theodoris, Anthony Chris | Pulmonary Diseases | Port Jefferson | 221756-0B | October 25, 2018 |
| Kaplan, Michelle Dana | Psychiatry | Albany | 285020-4W | October 1, 2018 |
| Claire, Philip G. | Radiology – Diagnostic Radiology, Vascular and Interventional Radiology | Stony Brook | 293336-4W | October 25, 2018 |
| Cruciata, Giuseppe | Radiology – Diagnostic Radiology, Neuroradiology | Stony Brook | 286994-9W | October 25, 2018 |
| Ginsberg, David M. | Radiology – Diagnostic Radiology | New City | 293994-0W | October 23, 2018 |
| Thurman, Matthew Stephen | Radiology – Radiological Oncology | Sanborn | 294479-1W | October 29, 2018 |
| Beckles, Daniel Lincoln | Surgery, Thoracic Surgery | Johnson City | 229885-9W | October 22, 2018 |
| Blackwood, Stuart Leighton | Surgery, General Vascular Surgery | Syracuse | 294864-4W | October 15, 2018 |
| Hesketh, Anthony John | Surgery | Stony Brook | 267272-3W | October 11, 2018 |
| Krajewski, Aleksandra | Surgery, Plastic Surgery | Stony Brook | 291472-9W | October 26, 2018 |
| Lakhtaria, Paryush Parbhubhai | Surgery | Suffern | 279288-5W | October 18, 2018 |
| Noticewala, Manish Suresh | Surgery | Middletown | 295921-1W | October 17, 2018 |
| Saliba, Jabbar | Surgery | Cortland | 286667-1W | October 29, 2018 |
| Soto, Flavia Celeste | Surgery | Syracuse | 254273-6W | October 2, 2018 |
| Tatarian, Talar | Surgery | Stony Brook | 293675-5W | October 25, 2018 |
* Providers authorized to treat and perform independent medical examinations have an authorization number ending in B. Providers authorized to only treat have an authorization number ending in W. Providers authorized to only perform independent medical examinations have an authorization number ending in I.
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Clarissa M. Rodriguez
Chair